Active NPI
Cristina M Vicens, LEP
- School Psychologist
- San Leandro, CA
National Provider Identifier
1043115025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4722
- Practice address
- 14207 E 14TH St
San Leandro, CA 94578-2709 - Phone
- (707) 775-5893
- NPI assigned
- Oct 10, 2026
- Last updated
- Oct 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4722 | CA | Primary |
Addresses
Primary practice location
14207 E 14TH St
San Leandro, CA 94578-2709
Mailing address
4336 Kerkyra CT
Rancho Cordova, CA 95742-8088
Phone (707) 775-5893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791590400000",
"number": "1043115025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4336 KERKYRA CT",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957428088",
"telephone_number": "707-775-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14207 E 14TH ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782709",
"telephone_number": "707-775-5893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICENS",
"first_name": "CRISTINA",
"middle_name": "M",
"credential": "LEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-10",
"last_updated": "2026-10-10",
"certification_date": "2026-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "4722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.